Precision delivery of electrical stimulation

A medical device comprising:

• a memory configured to store a representation of sensed electrical signals for a patient;
• and
• one or more processors configured to:
• maintain a counter tied to a clock used by the medical device to deliver electrical stimulation to a patient;
• obtain one or more representations of sensed electrical signals for the patient that are referenced to counts of the counter;
• identify, based on the one or more representations of the sensed electrical signals for the patient, a count of the counter at which stimulation is to be delivered to the patient;
• and
• deliver, to the patient, electrical stimulation based on the identified count of the counter.

A method for controlling delivery of electrical stimulation therapy, the method comprising:

• receiving, by a telemetry module of a device and from a medical device that maintains a counter tied to a clock used by the medical device to deliver the electrical stimulation to a patient, one or more representations of sensed electrical signals for the patient that are referenced to counts of the counter;
• identify, by one or more processors of the device and based the representations of sensed electrical signals for the patient, a count of the counter at which stimulation is to be delivered to the patient;
• and
• output, by the telemetry module and to the medical device, a command to deliver stimulation based on the identified count of the counter.

A medical device programmer comprising:

• a telemetry module configured to communicate with a medical device that maintains a counter tied to a clock used by the medical device to deliver the electrical stimulation to a patient;
• and
• one or more processors configured to:
• receive, via the telemetry module from the medical device, one or more representations of sensed electrical signals for the patient that are referenced to counts of the counter;
• identify, based the representations of sensed electrical signals for the patient, a count of the counter at which stimulation is to be delivered to the patient;
• and
• output, via the telemetry module and to the medical device, a command to deliver stimulation based on the identified count of the counter.

A computer-readable storage medium storing instructions that, when executed, cause one or more processors of a medical device programmer to:

• receive, via a telemetry module of the medical device programmer and from a medical device that maintains a counter tied to a clock used by the medical device to deliver the electrical stimulation to a patient, one or more representations of sensed electrical signals for the patient that are referenced to counts of the counter;
• identify, based the representations of sensed electrical signals for the patient, a count of the counter at which stimulation is to be delivered to the patient;
• and
• output, via the telemetry module and to the medical device, a command to deliver stimulation based on the identified count of the counter.

A system comprising:

• a medical device configured to maintain a counter tied to a clock used by the medical device to deliver the electrical stimulation to the patient;
• and
• one or more processors configured to identify, based on one or more representations of sensed electrical signals for the patient that are referenced to counts of the counter, a count of the counter at which stimulation is to be delivered to the patient,
• wherein the medical device is configured to deliver stimulation to the patient based on the identified count.